Provider Enrollment Associate-Lead

Job Title:   Provider Enrollment Associate-Lead 
Department: Enrollment/Quality
Location:  Riedman Campus,100 Kings Highway, Rochester NY 14617
Hours Per Week: 40 
Schedule:  Full-Time, Day-Shift, Monday to Friday, (8 am -4:30 pm) 

• →Plans, organizes, assigns ans supervises the day-to-day operations and facilitates the workflow of the team.  Orients, trains, coaches, and evaluates team members to ensure a competent and productive workforce.
• →Schedules and maintains adequate staffing coverage to ensure operational demands are met.
• →In addition to performing in the role of a Provider Credentialing Associate, provides leadership and assists manager/director in facilitating the workflow for a team of Provider Credentialing Associates.
• →Coordinates/communicates with director regarding team member’s performance thus providing feedback necessary for recognition and/or performance management/coaching.
• →Develops new electronic processes in coordination with manager/director to increase efficiency of team.
• →Monitors Apogee software setup for credentialing process, implementing changes as required to improve process efficiency.
• →In accordance with departmental policies, provides knowledge, expertise and guidance to a team of Provider Credentialing Associates to ensure tasks are completed timely and accurately while meeting regulatory standards.
• →Provide accurate and timely enrollment services in a prompt, professional, efficient and courteous manner, displaying STARS behavior to RGHS employed providers and team members.
• →Offers efficiency and solutions to ensuring the accuracy of provider data and verification while maintaining files in payor enrollment software.
• →Review and validate professional qualifications of providers to guarantee completion of provider applications. 
• →Collect and submit all applications timely and supporting documentation needed for submission to contracted insurance payors.
• →Complete and review provider applications for submission, protecting the confidentiality of private information contained within the applications, according to department policy.
• →Prepare and maintain reports and summaries of enrollment activities for managers.
• →Act as main point of contact for Claims Clearinghouse vendor; including Medicaid enrollment tracking process.
• →Monitor communications with administration, practice managers, provider recruitment and the hospital credentialing department.
• →Monitor team workload.

• Basic computer skills required.
• Excellent customer service and communication skills required.

• Associates degree or an equivalent combination of education and work experience.
• 4 years related work experience in a healthcare setting preferred.

• Effective 4/1/21: NYS Notary Public required within one year (Per Diem employees excluded).
• Notary Public required 1 year from date of hire (Per Diem employees excluded).

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.